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Randomized Controlled Trial
. 2009 Apr;6(4):1298-316.
doi: 10.3390/ijerph6041298. Epub 2009 Mar 27.

A school-based environmental intervention to reduce smoking among high school students: the Acadiana Coalition of Teens against Tobacco (ACTT)

Carolyn C Johnson  1 , Leann Myers, Larry S Webber, Neil W Boris, Hao He, Dixye Brewer
Affiliations
Randomized Controlled Trial

A school-based environmental intervention to reduce smoking among high school students: the Acadiana Coalition of Teens against Tobacco (ACTT)

Carolyn C Johnson et al. Int J Environ Res Public Health. 2009 Apr.

Abstract

A school-based environmental program to reduce adolescent smoking was conducted in 20 schools (10 intervention; 10 control) in south central Louisiana. The 9th grade cohort (n = 4,763; mean age = 15.4 yrs; 51% female; 61% Caucasian; 30-day smoking prevalence at baseline = 25%) was followed over four years for 30-day smoking prevalence with the school as the unit of analysis. Although prevalence decreased in intervention schools and increased in control schools in Year 2 the significant difference between the two groups at baseline was not overcome by the intervention and increases in prevalence were observed in both groups in Years 3 and 4. The higher the percentage of white students in a school the higher the prevalence rates regardless of intervention/control status. Boys' and girls' smoking rates were similar. These outcome data, student feedback and process evaluation provide a basis for continuing to create more innovative adolescent tobacco control programs.

Keywords: Smoking prevalence; adolescents; health promotion; high school.

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Figures

Figure 1.
Figure 1.
30-day smoking prevalence.
Figure 2.
Figure 2.
7-day smoking prevalence.
Figure 3.
Figure 3.
30-day chewing tobacco prevalence.
See this image and copyright information in PMC

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